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6�4s 1� <br /> CHAIN OF CUSTODY AND SAMPLE IDENTIFICATION RECORD <br /> ERM-West 2001 P Street., Suite 200, Sacramento, CA, 95814-5213, (916) 444-9378 <br /> citent: -s -- eceiving laboratory: <br /> Date: � Page: of; A ab Anal%447--29 <br /> tical Lab <br /> Weather; .�_ 19 <br /> No. of containers (this page only): Sa95814 <br /> Sampler(s): L <br /> ERM-west,lab No. Signature(s): (91 <br /> I2-LLQ: I IL <br /> Sample Time Sample type Containers Preservative Ice Sampling Analyses <br /> D (soi 1/water) —————---—— (Y/N' Method <br /> (grab/comp) No. volume Type <br /> r r f ST 7-p#—<, AW Xle-Da <br /> 1 3 O ��. —�� --- F'jsk 7. — • /fix711 <br /> Comments_-- _---__—_ ----------------- custody Record <br /> ----^/— ©_ � ----------------- <br /> l Signature/Date/Time <br /> -- ---------------------_.._ ——————— Relinquished <br /> . � ----------- Received <br /> Relinquished <br /> -----------------.._.------------ Received -�------------- <br />